Adaptive Sports Association New Dimensions Scholarship Application
DEADLINE for NEW DIMENSIONS scholarship applicants: November 22, 2019
2019-2020 New Dimensions Scholarship Application
Yes, you can do it! The New Dimensions program started in 1999 and since then more than 100 individuals with physical disabilities have participated. You don't have to be an adventurer or athlete to apply. This trip can be life-changing for people of all abilities. It includes 4 days of one-on-one ski instruction, lift tickets, all necessary ski equipment, 5 nights of lodging, transportation to Durango and most meals.

Our New Dimensions Scholarships are designed to accommodate individuals with a wide variety of disabilities. Our selections are based on a combination of factors including disability types in a given group, capacity at our ski school, etc. It is important that you fill this application out as honestly and completely as possible. None of the questions are meant to disqualify applicants. They are meant to give our committee and ski school as much information as possible.
First name: *
Last name: *
Date of birth: *
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Street address: *
City: *
State: *
Zip: *
Cell phone: *
XXX-XXX-XXXX
Home phone:
XXX-XXX-XXXX
E-mail: *
Height: *
Weight: *
Marital status:
Occupation:
Emergency Contact Name/Phone Number *
Emergency Contact Relationship *
Are you your own legal guardian? *
If the answer is NO, your legal guardian or legal representative must sign the waiver & release of liability agreement on your behalf. Please provide the following information about your guardian:
Full name & relationship
Are you an active duty service member or veteran? *
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